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Recent news about the expansive reach of the NSA is enough to make anyone a little paranoid. For those with paranoia in the clinical sense, however, the overwhelming suspicion that “someone is watching” is old news. Individuals with paranoid schizophrenia often report feeling like someone is spying on or following them. Such “persecutory delusions,” which occur in about 50 percent of people with schizophrenia, can be extremely troubling to the sufferer, who often feels threatened by imagined antagonists.